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Organization

DRS KOMMER AND STURDIVANT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS D KOMMER DDS MS (ORTHODONTIST)
(515) 225-9245
Entity
Organization

Contact information

Practice address
125 VALLEY WEST DRIVE, WEST DES MOINES, IA 50265-3939
(515) 225-9245
(515) 225-8162
Mailing address
125 VALLEY WEST DRIVE, WEST DES MOINES, IA 50265-3939
(515) 225-9245
(515) 225-8162

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0081489
IA
05
0115758
IA
Enumeration date
12/12/2007
Last updated
12/12/2007
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